Name:    Email:

Telephone:    Fax: 

Address: 

City:  State:  Zip: 

Profession:

Breed(s) of Dogs Previously Owned: 
What happened to these dogs? 

What breeds of dogs do you currently own?

Their temperament:

Gender:   Spayed or Neutered? 

How did you learn of the Coton? 

Why are you interested in owning a Coton? 

Do you plan to breed or show?      Yes No    Will you keep in touch with the breeder?      Yes No

Do you live in a:  Home Apartment Other, please describe

Do you have a securely fenced yard?      Yes No

What percentage will your Coton be in the house?    Yard?   Other?  

How many hours away from home are you each day? 

Where will your Coton be during this time? 

When you are away for work or vacation - how will your Coton be cared for? 

On what occasions do you plan to use a crate, and if so, how long?  

Where will your Coton sleep? 

What type of training do you intend for your Coton? 

Please list Family members/ages:

Briefly explain why you have chosen this time to bring a Coton into your family and how all of the
family members feel about it:   

Describe your personality:       

Hobbies, dog related or not:    

Preference, male/female, why?  

Please check all that apply - I want a Coton for: Companionship    Show     Obedience
Agility     Therapy     Breeding     Other - Explain:  

Any coat color preference? Describe: 

Will you spay or neuter this dog?      Yes No

Number in order of importance to you:
Temperament
Sex preference
Color
Size

Describe the perfect temperament for your new puppy.

Thank you for filling out this questionnaire. It should prove helpful to me in placing
a puppy in your home.

Please enter the letters below:


 

Date: